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Active NPI 1891283560 Individual Practitioner Female Practitioner

Mikaela Carrillo , RD, CD

Dietitian, Registered • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Mikaela Carrillo, RD, CD is a registered healthcare professional specializing in Dietitian, Registered in Spokane, WA. Practice services are available at 2020 E 29TH AVE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 E 29th Ave Ste 210

Spokane, WA 992033950

Telephone 9496971175

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Spokane, WA (2154 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA 6

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Commission On Dietetic Registration
86070124

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1255454724

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 27, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2018

Registered at 2020 E 29TH AVE STE 210, SPOKANE, WA 992033950 (Tel: 9496971175)

📍
Updated Business Mailing Address April 27, 2018

Registered at 2020 E 29TH AVE STE 210, SPOKANE, WA 992033950

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Provider Name / Credentials Updated April 27, 2018

Recorded as MIKAELA CARRILLO, RD, CD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Dietitian, Registered (License #6 in WA)

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Initial NPI Registration & Enumeration April 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891283560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2018
Last Update: April 27, 2018
Sole Proprietor: Yes

Mailing Address

2020 E 29th Ave Ste 210

Spokane, WA 992033950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.